CNA practice test (nurse aide knowledge exam practice): cram pack

Formula sheets, the key method steps for every topic and 4 practice problems, with full solutions at the back.

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1Formulas and methods

Nursing assistant (CNA) knowledge

Method

  1. Check whether the resident is in danger right now (not breathing, choking, a fall, chest pain, stroke signs); if so, keep them safe and get the nurse at once.
  2. Ask whether the task is within the nursing assistant’s scope and training; if not, decline politely and tell the nurse.
  3. Respect the resident’s rights: privacy, choice, refusal of care, dignity and freedom from abuse and unneeded restraints.
  4. Apply the basic rules: hand hygiene, body mechanics, bed low and call light within reach, weak side first when dressing.
  5. Observe and report: compare with the resident’s usual state and report changes promptly and objectively.

Nursing math & unit conversions

Metric steps
1 kg = 1000 g, 1 g = 1000 mg, 1 mg = 1000 mcg, 1 L = 1000 mL
Weight and length
1 kg = 2.2 lb, 1 lb = 16 oz, 1 in = 2.54 cm, 1 ft = 12 in
Household measures
1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 8 fl oz = 240 mL
Temperature
°C = (°F − 32)·5/9, °F = °C·9/5 + 32
24-hour clock
PM hours 1–11: add 12; 12 AM = 00:xx; 12 PM = 12:xx
Dose rate
mcg/min × 60/1000 = mg/h
Laboratory factors
glucose 1 mmol/L = 18 mg/dL; creatinine 1 mg/dL = 88.4 µmol/L; Hb 1 g/dL = 10 g/L

Method

  1. Write the given quantity with its unit and the unit you want.
  2. Pick the equivalent: 1000 between kg, g, mg and mcg or L and mL; 1 kg = 2.2 lb; 1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 240 mL.
  3. Write it as a fraction so that the unwanted unit cancels; for a rate, use one fraction per unit that changes.
  4. Check the direction: a smaller unit gives a bigger number.
  5. Round only the final answer, to the precision the question names.

2Practice problems

1.Nursing assistant (CNA) knowledgeMedium

During perineal care for an uncircumcised male resident, what is done with the foreskin?

  1. AIt is never moved during perineal care
  2. BIt is pulled back to clean, then returned to its normal position
  3. CIt is pulled back and left in that position after care is finished
  4. DIt is cleaned with alcohol without pulling it back
2.Nursing assistant (CNA) knowledgeHard

A doctor calls the unit and starts telling the nursing assistant a new order for a resident. What should the nursing assistant do?

  1. AWrite the order down and carry it out right away
  2. BTell the doctor to call back tomorrow
  3. CWrite the order on a sticky note for the nurse
  4. DPolitely ask the doctor to hold and get the nurse
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C100.2 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 100.2 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

100.2 °F
T = °C
4.Nursing math & unit conversionsHard
3 cups? mL6 fl oz? mL½ tbsp? mL1½ tsp? mLΣ = ? mL

Practice exercise (made-up values, not clinical guidance). During a shift a patient takes 3 cups of tea, 6 fl oz of juice, ½ tbsp of liquid supplement, 1½ tsp of cough syrup. Using the equivalents given, find the total oral intake V in mL.

1 cup = 8 fl oz = 240 mL1 fl oz = 30 mL1 tbsp = 15 mL1 tsp = 5 mL
V = mL

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: B · It is pulled back to clean, then returned to its normal position

Why this is the answer

The foreskin is gently pulled back to clean the tip of the penis and then returned to its normal position. If it is left pulled back, it can cause swelling and restrict blood flow.

Answer

B · It is pulled back to clean, then returned to its normal position
2.Nursing assistant (CNA) knowledge

Answer: D · Politely ask the doctor to hold and get the nurse

Why this is the answer

Nursing assistants do not take orders from doctors. They politely explain and get a licensed nurse to take the order, which avoids errors.

Answer

D · Politely ask the doctor to hold and get the nurse
3.Nursing math & unit conversions

Answer: T = 37.9 °C

Temperature: °C = (°F − 32) × 5/9 and °F = °C × 9/5 + 32. Subtract 32 before you multiply when going from °F, and add 32 after you multiply when going from °C. A quick check: 37 °C is 98.6 °F, and every 1 °C is 1.8 °F.

Subtract 32

100.2 − 32 = 68.2

Multiply by 5/9

T = 68.2·5/9 = 37.89 ≈ 37.9 °C

Answer

T = 37.9 °C
4.Nursing math & unit conversions

Answer: V = 915 mL

Household measures and weight: nursing exams use rounded equivalents: 1 teaspoon (tsp) = 5 mL, 1 tablespoon (tbsp) = 15 mL = 3 tsp, 1 fluid ounce (fl oz) = 30 mL = 2 tbsp, and 1 cup = 8 fl oz = 240 mL. For weight, 1 kg = 2.2 lb and 1 lb = 16 oz; for length, 1 inch = 2.54 cm. Set the conversion up so that the unit you do not want cancels out.

Each item in mL

3 cups = 3·240 = 720 mL
6 fl oz = 6·30 = 180 mL
½ tbsp = 0.5·15 = 7.5 mL
1½ tsp = 1.5·5 = 7.5 mL

Add

V = 720 + 180 + 7.5 + 7.5 = 915 mL

Answer

V = 915 mL

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